Myopericarditis (मायोपरिकार्डिटिस) एक heart condition है जिसमें myocardium (heart muscle) और pericardium (heart की outer lining) दोनों सूज जाते हैं।
- यह myocarditis और pericarditis का overlap है।
- कारणों में viral infection, autoimmune disorders और medications शामिल हो सकते हैं।
- अक्सर mild और self-limiting होती है, लेकिन severe cases में heart failure या arrhythmia हो सकता है।
Myopericarditis क्या है (What is Myopericarditis)
- Inflammation of heart muscle (myocardium) और pericardial sac (pericardium)
- Commonly caused by viral infections (Coxsackievirus, Adenovirus, COVID-19, Influenza)
- May cause chest pain, palpitations, fatigue
- Diagnosed with ECG, blood tests (troponin), echocardiography
Myopericarditis कारण (Causes of Myopericarditis)
1. Infectious Causes
- Viral: Coxsackievirus, Adenovirus, Parvovirus B19, Influenza, COVID-19
- Bacterial: Rare (Staphylococcus, Streptococcus)
- Fungal / Parasitic: Rare
2. Autoimmune Disorders
- Lupus (SLE), Rheumatoid Arthritis, Vasculitis
3. Drugs & Toxins
- Chemotherapy drugs, certain antibiotics, alcohol, cocaine
4. Other Causes
- Post-myocardial infarction (Dressler’s syndrome)
- Radiation therapy
- Idiopathic (unknown cause)
Myopericarditis लक्षण (Symptoms of Myopericarditis)
- Chest pain – sharp, worsens on lying down, improves on leaning forward
- Shortness of breath (dyspnea)
- Palpitations / irregular heartbeat
- Fatigue and weakness
- Fever, body aches (if viral cause)
- Rarely, swelling in legs or abdomen (fluid retention)
Symptoms may mimic heart attack, careful diagnosis required।
Myopericarditis कैसे पहचाने (Diagnosis of Myopericarditis)
- Electrocardiogram (ECG) – ST elevation, PR depression
- Blood Tests – elevated troponin, CRP, ESR
- Echocardiography – pericardial effusion, impaired heart function
- Cardiac MRI – inflammation detection, tissue characterization
- Chest X-ray – enlarged cardiac silhouette if effusion present
Accurate diagnosis differentiates it from myocardial infarction।
Myopericarditis इलाज (Treatment of Myopericarditis)
1. Medications
- NSAIDs (Ibuprofen, Aspirin) – reduce inflammation and pain
- Colchicine – prevent recurrent pericarditis
- Corticosteroids – severe autoimmune cases
- Heart failure medications – if heart function reduced
2. Hospitalization
- Required in severe cases with arrhythmia, heart failure, or large effusion
- Monitoring heart rhythm and vitals
3. Lifestyle & Supportive Care
- Rest, avoid strenuous activity
- Adequate hydration and nutrition
- Avoid alcohol and stimulants
4. Treat Underlying Cause
- Antiviral or antibiotic therapy if indicated
- Manage autoimmune disease appropriately
Early treatment prevents complications like tamponade, chronic heart failure, or arrhythmias।
रोकथाम (Prevention)
- Timely vaccination (Influenza, COVID-19)
- Avoid viral infections and maintain hygiene
- Manage autoimmune conditions effectively
- Avoid alcohol, drugs, and cardiotoxic medications when possible
सावधानियाँ (Precautions)
- Do not ignore chest pain, palpitations, or shortness of breath
- Follow doctor’s advice on medications and rest
- Regular cardiac monitoring after diagnosis
- Avoid strenuous exercise until cleared by cardiologist
FAQs (अक्सर पूछे जाने वाले प्रश्न)
Q1. Myopericarditis heart attack जैसी लगती है?
हाँ, symptoms similar हो सकते हैं, इसलिए ECG और troponin tests जरूरी हैं।
Q2. क्या यह cure हो सकती है?
Most cases mild और self-limiting होती हैं; severe cases में treatment required।
Q3. कितने समय में recover होता है?
Mild cases में 2–4 weeks, severe cases में months तक recovery हो सकती है।
Q4. Complications क्या हो सकते हैं?
Heart failure, arrhythmias, cardiac tamponade, recurrent pericarditis
निष्कर्ष (Conclusion)
Myopericarditis (मायोपरिकार्डिटिस) एक inflammatory heart condition है जिसमें heart muscle और pericardium दोनों प्रभावित होते हैं।
Early detection, medications, rest, और underlying cause management से symptoms control और complications prevention संभव है।
अगर किसी को chest pain, palpitations, shortness of breath दिखाई दे, तो तुरंत cardiologist से consultation जरूरी है।